| NPI | 1144255415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL VINCENT President 240-912-4708 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1050) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-05-16 |